| NPI | 1417490418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J CASHATT Owner 336-862-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6975) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |